Provider First Line Business Practice Location Address:
8331 BRIMHALL RD
Provider Second Line Business Practice Location Address:
STE 902 BLDG 900
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-387-6405
Provider Business Practice Location Address Fax Number:
661-387-6015
Provider Enumeration Date:
09/17/2015